Individual provider Active NPI

Nathan Phong Nghe, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1902077522
Registry record updated Mar 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30737 Issued in CA
Practice address
4535 30TH St Ste 115
San Diego, CA 92116-4245
Phone
(619) 281-1546
NPI assigned
Mar 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30737 CA Primary

Addresses

Primary practice location

4535 30TH St Ste 115
San Diego, CA 92116-4245

Mailing address

4535 30TH St Ste 115
San Diego, CA 92116-4245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206230400000",
    "number": "1902077522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 30TH ST STE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 30TH ST STE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164245",
            "telephone_number": "619-281-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGHE",
        "first_name": "NATHAN",
        "middle_name": "PHONG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-23",
        "last_updated": "2008-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.